Evidence map›Paper›PMID 41715005›Full record

Trial reportBMC musculoskeletal disorders2026

The effect of multimodal rehabilitation program on pain, functional outcomes, and plantar fascia thickness in patients with plantar fasciitis: a randomized controlled trial.

Mohamed Ramadan Ibraheem, Mohamed Ashraf Abd El-Moneim, Mona Mohamed Ibrahim

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06456944 (Effect of Selected Rehabilitation Program on Pain, Function, and Plantar Fascia Thickness in Patients With Plantar Fasciitis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06456944 nacompletednot on this map

Effect of Selected Rehabilitation Program on Pain, Function, and Plantar Fascia Thickness in Patients With Plantar Fasciitis

TypeinterventionalSponsorHorus UniversityRan2024 to 2025Enrolled48ConditionsPlantar Fascitis, Plantar Fasciitis, Chronic, Heel Pain SyndromeArmsstretching exercises, ultrasound, rigid tape, mobilization, myofascial release
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mohamed Ramadan IbraheemDepartment of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. mibraheem@horus.edu.eg.ORCID http://orcid.org/0009-0007-1559-703X
Mohamed Ashraf Abd El-MoneimDepartment of Radiodiagnosis, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Mona Mohamed IbrahimDepartment of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.ORCID http://orcid.org/0000-0003-1721-9108

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlantar fasciitis (PF) is characterized by heel pain and functional limitations, with hyperpronation identified as a primary risk factor. Mechanical correction of malalignment is one of several therapeutic options, but no one has settled on a single, comprehensive treatment protocol. The aim of this study was to examine the effect of a multimodal rehabilitation program that incorporates both active and passive correction of the foot’s pathomechanics on pain intensity, function, plantar fascia thickness, foot posture, and ankle dorsiflexion range of motion in patients with PF, in comparison to a conventional rehabilitation protocol.

methodsA randomized controlled trial involving 48 patients (21 males and 27 females) aged 40 to 60 years and clinically diagnosed with PF. They were randomly assigned to either the experimental or control groups. The control group received a conventional rehabilitation program (self-stretching, mobilization of the ankle and subtalar joint, myofascial release, and ultrasound), while the experimental group received the multimodal rehabilitation program that included low-dye tape, short foot exercise, and unilateral heel raising, in addition to the same self-stretching and mobilization given to the control group. Both groups were given 3 sessions per week for 8 consecutive weeks (2 months). Outcome measures included pain intensity (using visual analogue scale and pressure pain threshold) and foot posture (via the foot posture index and rear foot angle. Functional impairment (using the foot function index). Dorsiflexion range of motion (assessed with a bubble inclinometer), and plantar fascia thickness (measured via ultrasonography).

resultsPost-treatment, both groups showed significant improvements in all outcomes (p < 0.001), except for the foot posture index, which wasn’t significant in the control group (p = 0.097). However, the rear foot angle and foot posture index showed significant differences between groups, favoring the experimental group (p = 0.046 and p = 0.027, respectively).

conclusionBoth programs effectively improved clinical outcomes and reduced plantar fascia thickness in patients with PF. However, the multimodal rehabilitation program demonstrated greater improvement in foot posture measures. Thorough rehabilitation targeting clinical outcomes and biomechanical aspects may yield superior results in the management of PF.

trial registrationThe trial was registered on June 8, 2024, on clinicaltrials.gov (NCT06456944). https://clinicaltrials.gov/study/NCT06456944 .

Indexed as

Exercise TherapyFasciaFasciitis, PlantarAdultCombined Modality TherapyFemaleHumansMaleMiddle AgedPain MeasurementRange of Motion, ArticularRecovery of FunctionTreatment OutcomeFascia thicknessFoot posture indexHeel painHyperpronationMultimodalPlantar fasciitisRehabilitation

Identifiers

PMID41715005
PMCPMC12930778

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.